Telling about long-lasting pain – the role of key questions in physiotherapy encounters
2014 (English)Manuscript (preprint) (Other academic)
Aim: For a physiotherapist in primary care wishing to meet her/his patient in the entirety of possible causes of long-lasting pain, the ability to perceive its nuances and context is indispensable.
The aim was to investigate the verbal responses of patients with long-lasting pain to key questions addressing their biography, identity and lived body.
Methodology: Three Swedish physiotherapists asked eight patients with long-lasting pain seven questions regarding body experience at the introductory and concluding, tape-recorded, treatment sessions. A deductive, qualitative analysis was made through four concepts naming aspects of body experience: body reliance, body awareness, models for explaining pain and the body’s integration in the identity.
Major findings: The key questions opened ways to bodily-existential reflections. The aspects of body experience were central to the patients’ descriptions. Appreciable differences emerged between the patients in how they described the experience of living with pain, and in some cases differences were seen between the conversations of the first and the last treatment session with the same patient.
Conclusions: The questions addressed crucial issues of living with pain and seem to have a potential to capture changes in body experience. Physiotherapists may recognize their patients’ biographical disruptions, reconstruction and adapt their treatment accordingly.
Place, publisher, year, edition, pages
Pain management, Clinical dialogue, Physiotherapy, Bodily existential perspective, Body awareness, Body reliance, Key questions, Deductive qualitative analysis
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-106746OAI: oai:DiVA.org:liu-106746DiVA: diva2:718403